خرید و دانلود نسخه کامل کتاب Clinical Lectures on the Acute Abdomen

This medical volume was published in 1912. From the book’s Preface: It has been suggested that I should place the following Lectures, which were given in the Clinical Theatre at St. Thomas’s Hospital, in book form, so that they may reach larger audiences than those to which they were delivered, and also complete the subject, to some extent, for those who were not present on the occasions when all of them were given. For some time I have refrained from doing so, but the increasing importance of the subject, with the improved results that are met with when the sufferers from most of the surgical catas- trophes included in their scope are submitted to early operation, has induced me to do it, in the hope that some good may ensue. So far as possible the cases related have been treated aseptic- ally, and without unnecessary multiplication of instruments, for if the practitioner gets the idea that he cannot operate without someone’s special bobbin, clamp, or suture needle, he may postpone operation, and the patient in all probability lose his life. Prompt operation must follow on diagnosis, and there is usually no time for the removal of the patient to a surgical home if more than an hour or two will be lost by doing so. In all the operations silk was used for sutures and ligatures ; No. 1 is the size which is most frequently employed and gener- ally useful, with fishgut sutures for the skin. I am strongly of opinion that catgut should not be used in acute abdominal cases ; it is apt to soften and yield too quickly should any strain be placed on it. In all abdominal cases it is best to use silk ; some may recollect the statement of Kocher that in the clinique of Madelung over 100 abdominal cases had burst their wounds open because of the unreliability of catgut. Silk is safe, and can be quickly and readily sterilised. June, 1910.